Search Results (274)

Developing bioactive glasses that simultaneously provide mechanical reliability, cytocompatibility, controlled ion release, and antibacterial functionality remains a major challenge in bone tissue engineering. In this study, borotellurite-based bioactive glasses with the composition (45 − x)TeO₂–20Na₂O–10CaO–15P₂O₅–10B₂O₃–xY₂O₃ (x = 0–7 mol.%) were designed to elucidate the role of Y₂O₃ in governing composition–structure–property relationships. Structural, thermal, mechanical, ion-release, bioactivity, cytocompatibility, cell-adhesion, and antibacterial properties were systematically evaluated, and the most promising composition was further modified by silver surface coating. Y₂O₃ incorporation markedly enhanced thermal stability, hardness, and fracture resistance, with hardness reaching 4.317 GPa at 7 mol.%, while the highest compressive strength was achieved at 1 mol.% Y₂O₃ (67.97 MPa). Importantly, Y₂O₃ regulated dissolution behavior and mitigated the severe long-term cytotoxicity of the undoped glass, maintaining all doped compositions above the ISO 10993-5 threshold after 30 days. Higher Y₂O₃ contents also promoted osteoblast adhesion and facilitated bioactive surface layer formation following SBF immersion. No detectable E. coli adhesion was observed, whereas the TBY3 composition exhibited the lowest S. aureus adhesion, further improved by silver coating. These results demonstrate Y₂O₃ as an effective multifunctional modifier for engineering mechanically robust, biologically favorable, and antibacterial borotellurite bioactive glasses for bone repair. Full article

The aim of this study was to evaluate the biological effects of bioactive glass-containing self-adhesive resin cements (SARCs) on human dental pulp stem cells (DPSCs), focusing on cytocompatibility, odontogenic differentiation, and mineralization. Experimental SARCs containing 0–5 wt% BAG (BG0–BG5) were compared with two commercially available SARCs, RelyX U200 and TheraCem. Eluates were prepared and applied to DPSCs for the methylthiazol tetrazolium (MTT) assay, quantitative real-time polymerase chain reaction (qRT-PCR), immunofluorescence (IF) staining, and Alizarin Red S (ARS) staining. The result showed there were no significant differences in cell viability across all groups (p > 0.05), indicating that the addition of BAG did not affect cell viability, while the early odontogenic differentiation markers, such as RUNX2, ALP, and COL1A1, showed no clear trend among the groups. However, late-stage markers (DMP-1 and DSPP) were significantly higher in the BG2–BG5 groups relative to the OM group (p < 0.05). IF staining revealed intense signals in the BG2–BG5 groups (p < 0.05) and also ARS staining showed a time-dependent increase in mineral deposition. Within the limitations of this study, BAG-containing SARCs do not negatively impact cytocompatibility and promote late-stage odontogenic differentiation and mineral deposition. Full article

Bioactive glass (BAG) S53P4 is a clinically approved bone substitute with antibacterial, osteoconductive and osteostimulatory properties. Its antibacterial effect is associated with ion release, local pH elevation and osmolality, but the precise biochemical and biophysical mode-of-action is unclear. This study investigates the antibacterial mechanism of BAG S53P4 eluates. BAG eluates, collected at 2, 4, 8, and 24 h, eradicated Staphylococcus aureus. Elemental analysis revealed an early increase in concentrations of Si and Na, a later rise in Ca, depletion of P over time and rapid loss of Mg. Membrane disturbances occurred within 5 min, evident by permeability for SYTOX, aligning with time-kill kinetics for S. aureus and Bacillus subtilis. In B. subtilis, 2h-BAG-eluate induced rapid delocalization of marker proteins for cell division and DNA repair, signaling membrane potential collapse and nucleoid condensation. Transcriptomics revealed early transcription remodeling reflecting ionic and energetic imbalance, including disruption of central metabolism, redox homeostasis, and translational stability. Scanning electron microscopy revealed severe cell surface damage and particulate deposits on S. aureus. Transmission electron microscopy showed cell envelop disruptions and cytoplasmic leakage. Energy dispersive X-ray analysis identified Si on bacterial cell surface at 4 h and intracellular accumulation in punctured, empty cells at 24 h. Overall, BAG ionic dissolution products kill bacteria through a stepwise mechanism involving membrane damage, protein delocalization and metabolic impairment, accompanied by Si deposition on bacterial surfaces and loss of Mg. This finally leads to cell wall degradation, cytoplasmic content leakage and further Si deposition on the cells and inside cell ghosts. Full article

Advances in dental material science over recent decades have significantly improved the mechanical, physical, esthetic, and adhesive properties of restorative systems. As clinical performance and durability have reached high standards, research has progressively shifted from purely mechanical replacement toward the development of bioactive materials capable of interacting beneficially with biological tissues. Rather than functioning solely as passive restoratives, contemporary materials are increasingly designed to contribute to disease prevention and tissue repair. Bioactive functionality encompasses both bioprotective and biopromotive effects, including antimicrobial activity, reinforcement of the dental substrate, promotion of remineralization, modulation of inflammatory responses, and stimulation of regenerative pathways. In this context, the surface pre-reacted glass ionomer (S-PRG) particle has emerged as a multifunctional bioactive technology. Its unique three-layer structure enables sustained release of multiple ions, fluoride, strontium, boron, sodium, silicate, and aluminum, associated with mineralization, biofilm inhibition, inflammatory regulation, and activation of cellular signaling pathways. An integrative review was conducted through a literature search in PubMed, SciELO and Scopus using the descriptors “Surface-reaction-type prereacted glass ionomer” and “S-PRG.” Experimental studies evaluating antimicrobial, anti-inflammatory, remineralizing, cellular, or regenerative effects of S-PRG-containing materials were considered eligible. A total of 49 studies met the inclusion criteria and were analyzed through descriptive synthesis. The available evidence indicates that the biological activity of S-PRG-containing materials extends beyond caries prevention, including modulation of inflammatory responses, enhancement of mineralization processes, and stimulation of cellular pathways related to tissue repair. These findings highlight the potential of S-PRG technology as a promising strategy for the development of restorative materials with regenerative and preventive properties. Full article

Glass ionomer cements (GICs) are considered functionally biomimetic as they participate in ion-exchange processes that partially resemble the behavior of natural enamel and dentin, chemically bond to dental hard tissues, and release fluoride. While GICs are designed to interact with aqueous oral environments, their exposure to dietary beverages may affect their esthetic stability and water-related behavior within the oral environment. For biomimetic restorative materials to perform successfully in the oral environment, they must maintain not only bioactive properties but also esthetic stability and resistance to water-related degradation during exposure to dietary beverages. This study evaluated beverage-induced color changes, water sorption, and water solubility of six GICs following their immersion in coffee, tea, berry juice, cola, and distilled water (n = 5 per material per solution). Color measurements were recorded at baseline and after 2, 4, 6, and 8 weeks using a spectrophotometer, and color change (ΔE) values were calculated using the CIE L*a*b* system. Specimen mass was measured at baseline, after 8 weeks of immersion and then after 4 weeks of desiccation. Data were analyzed using repeated-measures Analysis of Variance (ANOVA) and Fisher’s least significant difference post hoc tests (α = 0.05). The results showed time, material, and solution significantly affected ΔE (p < 0.001). Tea produced the greatest discoloration overall, followed by coffee. ChemFil exhibited the greatest staining susceptibility, while Fuji II showed the lowest staining susceptibility. Water sorption and solubility were material- and solution-dependent. Clinically relevant discoloration of GICs was found when immersed in common beverages over time, with tea showing the strongest staining effect. These findings indicate that although GICs exhibit biomimetic characteristics through their interaction with tooth structures and aqueous environments, their long-term esthetic stability and resistance to environmental challenges should also be considered when selecting restorative materials for clinically visible areas. Full article

Bone defects remain a significant challenge in bone tissue engineering, driving an urgent need for advanced materials with enhanced therapeutic properties. Additive manufacturing highlights a unique capacity for customization, which enables the precise realization of complex and personalized composite scaffolds. This study innovatively integrates the superior mechanical properties of polycaprolactone (PCL) with the antibacterial characteristics of S53P4 bioactive glass. Utilizing thermal melt extrusion processing and fused deposition modeling (FDM) technology, we fabricated gradient-structured S53P4@PCL composite three-dimensional porous scaffolds with varying doping ratios (5 wt%, 10 wt%, 20 wt%). To further improve the antibacterial efficacy of the scaffold, exosomes (EXO) derived from grouper eggs were functionalized with bacteria-targeting aptamers (APTs), a type of functional DNA capable of binding to bacterial peptidoglycan, and EXO-APT-20%S53P4@PCL was fabricated. The resulting EXO-APT-20%S53P4@PCL scaffold was able to facilitate the targeted capture and subsequent eradication of bacteria. This study pioneers the synergistic integration of aptamer-modified exosomes into 3D composite scaffolds. Our analysis confirmed that the incorporation of APTs enabled targeted bacterial capture, and antibacterial EXO further enhanced the overall bacterial killing capability of the S53P4@PCL scaffolds. The fabrication of porous S53P4@PCL scaffolds through an innovative composite-molding strategy, combined with EXO-APT functionalization, establishes a new paradigm for customized bone repair. Full article

The resistance of pathogenic bacteria to antimicrobial agents is currently one of the most significant health challenges. Polymers and nano-polymer composites with antimicrobial properties are widely used, particularly in hospitals, biocompatible implants, and the medical device industry. Syzygium aromaticum (clove) contains several bioactive compounds, including potent antioxidants and antimicrobials, which confer antioxidant, antibacterial, and antiseptic properties. For this purpose, polyvinyl alcohol (PVA) films were produced at three different concentrations using a direct integration method and doped with clove essential oil. The spectral, structural, and thermal properties of the produced films were analyzed, and their antibacterial activity against Klebsiella pneumoniae was tested. Fourier Transform Infrared Spectroscopy (FTIR) results confirm that the structural integrity of the PVA matrix is preserved and that the essential oil is physically trapped within the polymer network. Overall, the Differential Scanning Calorimetry (DSC) results confirm that Syzygium aromaticum essential oil (SAEO) acts as an effective plasticizer in PVA films, significantly modifying the glass transition behavior and enhancing polymer chain mobility in a concentration-dependent manner. The Dynamic Mechanical Analysis (DMA) results, supported by DSC analysis, clearly demonstrate that SAEO acts as an effective plasticizing agent in PVA films by increasing molecular mobility, lowering the glass transition temperature (Tg), and promoting thermally induced deformation. The concentration-dependent increase in the diameter of the inhibition zone of essential-oil-added films showed that their antibacterial efficacy increased as the S. aromaticum essential oil content increased (0.5%, 0.75%, and 1.0%). Additionally, molecular docking was performed to examine interactions between selected virulence proteins of K. pneumoniae and the main components of clove essential oil. As a result, S. aromaticum essential oil conferred antibacterial properties to the polyvinyl alcohol films without significantly altering their transparency and thermal properties. Full article

Mesoporous bioactive glass nanoparticles (MBGNs) are promising for bone tissue engineering; however, surgical site infection and oxidative stress often compromise regeneration. To address this, MBGNs co-doped with cerium (Ce), zinc (Zn), and strontium (Sr) were synthesized using a microemulsion-assisted sol-gel route (xCe-yZn-Sr-MBGNs; x = 0, 1, 2; y = 0, 0.5, 1). The resulting spherical nanoparticles (150–200 nm) exhibited a mesoporous structure with a specific surface area of (~340–425 m²/g), sustained ion release, and apatite formation in simulated body fluid. In vitro evaluations with MC3T3-E1 pre-osteoblasts demonstrated dose-dependent cytocompatibility, specifically in the co-doped formulations; however, higher Ce concentrations (2Ce-yZn-Sr-MBGNs) reduced viability following prolonged exposure. Crucially, the 1Ce-1Zn-Sr-MBGNs significantly enhanced osteogenic differentiation, as evidenced by a two-fold increase in osteogenic marker gene expression and a ~45% increase in calcium mineral deposition compared to undoped MBGNs within 14 days. Moreover, these particles accelerated cell migration, achieving ~70% scratch-wound closure within 24 h. Furthermore, 1Ce-1Zn-Sr-MBGNs displayed strong radical scavenging capacity and potent antibacterial activity against S. aureus and P. aeruginosa. These findings indicated that 1Ce-1Zn-Sr-MBGNs exhibited multiple therapeutic effects, including antibacterial, radical-scavenging, and osteogenic effects. By optimizing dopant ratios, these multifunctional nanomaterials emerge as promising candidates for next-generation bone grafts or implant coatings. Within the scope of this study, they demonstrated the capacity to simultaneously address three critical challenges in bone healing: controlling infection, mitigating oxidative stress, and promoting mineralized tissue formation. While these in vitro results provide a robust foundation, further in vivo validation is warranted to confirm their efficacy within complex physiological environments. Full article

With the growing clinical use of ion-releasing resin composites, their repairability has become an important consideration in minimally invasive restorative dentistry. Therefore, this study investigated the repair bond strength of a universal composite restorative to commercially available and experimental ion-releasing resin composite materials. Specimens (n = 8 per group) were produced from three commercially available ion-releasing composite materials (ACTIVA BioACTIVE-RESTORATIVE, Cention Forte, Beautifil II), one experimental ion-releasing resin composite containing 20 wt% bioactive glass fillers, and two conventional resin composites (3M Filtek Supreme XTE, Ceram.x Spectra ST), and aged by thermal cycling in artificial saliva (5000 cycles, 5–55 °C). Substrate surfaces were sandblasted (Al₂O₃, 50 µm), silanized (Monobond Plus), and repaired using adhesive (OptiBond FL) and universal resin composite (Ceram.x Spectra ST). After further thermal cycling, micro-tensile repair bond strength was assessed and analyzed using one-way ANOVA followed by Tukey’s post hoc test. Failure modes were determined by stereomicroscopy (25× magnification) and statistically compared among the groups. Highest mean repair bond strength values were obtained for ACTIVA BioACTIVE-RESTORATIVE, Beautifil II, and 3M Filtek Supreme XTE (53.8, 46.2, and 43.0 MPa, respectively), which did not differ significantly among each other. ACTIVA BioACTIVE-RESTORATIVE attained significantly higher bond strength than the experimental composite, Ceram.x Spectra ST, and Cention Forte, and showed the highest incidence of cohesive failures (40%). No significant bond strength differences were detected among Beautifil II, 3M Filtek Supreme XTE, experimental composite, Ceram.x Spectra ST, and Cention Forte (36.2–46.2 MPa). In conclusion, ion-releasing resin composites can be repaired with conventional universal composite and show repair bond strength values at least as high as those of conventional composite materials. Full article

Zirconia (ZrO₂) containing bioactive glasses (BG’s) have been synthesized to determine their influence on the structure of a 0.56SiO_2–0.15Na₂O-0.25CaO-0.04P₂O₅ glass and the resulting solubility within a hydrated environment. In this study, the SiO₂ content was directly substituted with 0.04 ZrO₄ (Mol. Fr.) and structural analysis of the Control and Zr-Glasses was conducted using X-ray Photoelectron Spectroscopy (XPS) and Magic Angle Spinning-Nuclear Magnetic Resonance (MAS-NMR). These techniques indicate that the overall network connectivity (NC) of the glass increases with ZrO₂/SiO₂ substitution, suggesting that ZrO₂ acts predominantly as a network former in the glass structure. The ion release profiles of the glasses incubated in de-ionized water from 1 to 1000 h showed decreased dissolution rates for the Zr-containing glasses. The in vitro bioactivity of glasses tested in Simulated Body Fluid (SBF) showed calcium phosphate (CaP) formation on the surface of all glasses after 100–1000 h incubation; however, the Zr-glass experienced delayed CaP precipitation compared to the Zr-free Control. Full article

Using multifunctional dual-cure smart bioactive resin luting agents (DRLs) offers benefits in adhesive dentistry, but their optical stability remains a concern. Their pre-cured form is a shear-thinning structure with thixotropic gel-like behavior. The effect of their hydrophilicity and different thicknesses of nanoceramic hybrid on the final shade of milled esthetic restorations needs further investigation. This study examined how the optical function deterioration of dual-cure smart bioactive resin luting agents used to bond a CAD/CAM nano-ceramic hybrid composite would influence the restoration’s final shade at three different thicknesses. A nanoceramic hybrid composite (GD) was cut into blocks and grouped by thickness (0.8, 1.0, 1.5 mm). Ten blocks from each group were assigned to subgroups based on the DRL type: Panavia SA Universal (PN), Predicta Bioactive (PR), and ACTIVA BioACTIVE (AC). Color and whiteness changes after a 24 h/day (24 days) coffee immersion were analyzed using statistical methods (ANOVA and Tukey’s HSD for ΔE₀₀; Welch’s ANOVA and Games-Howell for ΔWI_D and ΔL*). DRL type significantly affected ΔE₀₀, ΔWI_D, and ΔL* (p < 0.001). All materials showed the least color change and optical function deterioration at a restoration thickness of 1.5 mm, which was below the acceptability threshold (AT). Despite PR’s bioactive functionality, it maintained its primary optical function with the least color change at GD thicknesses of 1.0 and 1.5 mm (p < 0.001). AC exhibited the greatest ΔE₀₀ above AT, especially at a thickness of 0.8 mm (p < 0.001). ΔL*, ΔE₀₀, and ΔWI_D varied significantly based on DRL type, GD thickness, and the interaction between DRL and thickness (p < 0.05). This suggests that although dual-cure smart DRLs containing bioactive glasses are advantageous, their optical function shifts may become more noticeable in thin, translucent restorations. Increasing the restoration thickness can help mitigate this by altering the optical pathway. Full article

Canal wall down mastoidectomy (CWD) effectively eradicates cholesteatoma and chronic otitis media but frequently results in a problematic open mastoid cavity. Mastoid obliteration aims to reduce cavity-related morbidity. Bioceramic materials, including hydroxyapatite (HA), tricalcium phosphate (TCP), and bioactive glass (BAG), have been increasingly adopted because of their osteoconductive, biocompatible, and antimicrobial properties. This systematic review evaluates the clinical outcomes and complications of bioceramic mastoid obliteration following CWD. A systematic literature search of PubMed, Scopus, and Web of Science was conducted for studies published between 2005 and 2025, following PRISMA guidelines. Clinical studies reporting outcomes of bioceramic mastoid obliteration after CWD were included. Thirteen clinical studies were included. HA-, TCP-, and BAG-based materials demonstrated high obliteration success rates (>90% in most series). BAG S53P4 was consistently associated with low infection rates and favorable epithelialization, whereas earlier HA cement formulations were occasionally associated with revision-requiring complications. Bioceramic scaffolds represent safe and effective materials for mastoid obliteration after CWD. BAG offers additional antibacterial advantages, while HA provides predictable volume stability. Further prospective and comparative studies are required to establish material superiority and long-term outcomes. Full article

The development of effective bone substitutes remains a central goal in regenerative medicine. In this study, lithium-modified bioglass-ceramics based on the 47.5S5 silicate oxide system were synthesized using the sol–gel method, followed by calcination and axial pressing to form cylindrical samples. These materials were sintered at 700 and 800 °C and subsequently examined to evaluate their structural, mechanical, and biological performance. Structural and microstructural analyses confirmed the presence of crystalline phases such as combeite (Na₆Ca₃Si₆O₁₈), NaLiSiO₄, Li₂SiO₃, and calcium silicates, indicating the successful incorporation of lithium within the glass-ceramic network. The bioceramics exhibited improved densification, deformability, and compressive strength with increasing sintering temperature. In vitro degradation in simulated body fluid revealed a consistent increase in mass loss with higher lithium content, suggesting enhanced resorbability linked to lithium oxide. Antibacterial testing indicated moderate antimicrobial activity, with slightly better results observed at higher sintering temperatures. Cell viability assays further supported the materials cytocompatibility. Taken together, these findings suggest that lithium substitution contributes positively to both mechanical robustness and biological behaviour, positioning these ceramics as promising bioresorbable bone substitutes with controlled degradation, suitable for bone tissue engineering where durability, bioactivity, and antimicrobial function are required. Full article

Diabetes mellitus is a serious public health problem, mainly due to the difficulty in healing chronic wounds, which present an inflammatory response for long periods of time and are more vulnerable to infections. Hydrogels are a promising therapeutic solution due to their biocompatibility, biodegradability, and ability to allow controlled release of therapeutic agents. The addition of bioactive glasses doped with therapeutic ions to hydrogels can also provide specific biological responses to the system and thus improve tissue regeneration. In this study, a hydrogel based on carboxymethylcellulose and polyethylene glycol with different degrees of crosslinking and enriched with 10% by weight of CeO₂-doped Bioglass 45S5 was developed. Structural, morphological, mechanical, and biological characterizations were performed on bioactive glass, hydrogels, and hydrogels enriched with bioactive glass. Structural analyses confirmed the preservation of the typical amorphous structure of Bioglass 45S5, even after the incorporation of 5% molar CeO₂, as well as the effectiveness of the polymer matrix crosslinking process. Structural analyses demonstrated the preservation of the typical amorphous structure of Bioglass 45S5, even after the incorporation of 5 mol% CeO₂, as well as the effectiveness of the polymer matrix cross-linking process. The hydrogels exhibited distinct behaviours in terms of water absorption and degradation, showing that the sample with the lowest concentration of crosslinkers and bioactive glass allowed for a higher expansion rate and a higher degradation rate. The hydrogel with 10 wt% BG did not compromise cell viability and showed structural integrity after being subjected to cyclic flexible deformations, indicating its safety and suitability for use in tissue engineering. Full article

Calcium phosphate cements (CPCs) and biomaterials, such as mesoporous bioactive glass (MBG), are critical for bone tissue engineering. This study aimed to 3D-print CPC scaffolds modified with MBG to enhance their osteogenic potential and regenerative ability. MBG powder was synthesized and characterized using transmission electron microscopy (TEM), X-ray diffraction (XRD), and nitrogen adsorption–desorption techniques. A commercial CPC ink (hydroxyapatite/α-tricalcium phosphate) was mixed with 5% MBG (w/w; CPC/MBG), and, after rheological assessment, the mixture was used to obtain scaffolds via 3D printing. These scaffolds were then tested for chemical, morphological, and mechanical properties, as well as ion release analysis. Unmodified CPC 3D-printed scaffolds served as controls. Biological experiments, including cell viability, DNA content, cell adhesion/spreading, and osteogenic gene expression, were performed by seeding alveolar bone-derived mesenchymal stem cells onto the scaffolds. Statistics were performed using Student’s t-test and ANOVA with post hoc tests (α = 5%). MBG characterization showed a typical mesoporous structure with aligned microchannels and an amorphous structure. Both formulations released calcium and phosphate ions; however, CPC/MBG also released silicon. Cell viability, adhesion/spreading, and DNA content were significantly greater in CPC/MBG scaffolds compared to CPC (p < 0.05) after 3 and 7 days of culture. Furthermore, CPC/MBG supported increased expression of key osteogenic genes, including collagen (COL1A1), osteocalcin (OCN), and Runt-related transcription factor 2 (RUNX2), after 14 days (p < 0.05). The combination of CPC ink with MBG particles effectively enhances the biocompatibility and osteogenic potential of the scaffold, making it an innovative bioceramic ink formulation for 3D printing personalized scaffolds for bone regeneration. Full article